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Diagnostic Stewardship in Times of COVID-19 Pandemic
Lipika Singhal1, Ivneet Kour1, Varsha Gupta1
1Department of Microbiology, Government Medical College & Hospital, Chandigarh, 160030, India.
Insights
Diagnostic Stewardship (DS) is crucial for managing COVID-19 testing resources effectively. It ensures the right test is used for the right patient at the right time, optimizing care and conserving resources.
Area of Science:
- Infectious Diseases
- Public Health
- Health Policy
Background:
- The emergence of COVID-19, a novel coronavirus disease, in Wuhan, China, in December 2019 led to a global pandemic.
- The World Health Organization declared COVID-19 a global health emergency and subsequently a pandemic, highlighting the urgent need for control measures.
- Effective control strategies include early detection, isolation, prompt treatment, and contact tracing.
Purpose of the Study:
- To emphasize the critical role of Diagnostic Stewardship (DS) in managing COVID-19 testing.
- To outline how DS can strategically allocate and engage testing resources.
- To highlight the goal of DS in improving clinical care and conserving healthcare resources.
Main Methods:
- The study emphasizes the strategic allocation and engagement of existing and new testing resources.
- Diagnostic Stewardship focuses on selecting the appropriate test for each patient.
- The approach involves timely testing to ensure accurate and clinically relevant results.
Main Results:
- Implementing Diagnostic Stewardship ensures the right test is used for the right patient at the right time.
- Accurate and clinically relevant results are generated, leading to better clinical care outcomes.
- Effective utilization of testing resources helps conserve healthcare resources.
Conclusions:
- Diagnostic Stewardship is essential for the strategic, effective, efficient, and safe use of COVID-19 testing resources.
- DS optimizes clinical care by ensuring appropriate testing and timely results.
- The principles of Diagnostic Stewardship are vital for managing pandemics and conserving healthcare resources.
Abstract:
A cluster of unknown acute pneumonia cases by a novel coronavirus signaled an outbreak in Wuhan province of China in December 2019. The World Health Organization (WHO) initially declared COVID-19 as the global public health emergency on 30th January 2020 and subsequently a pandemic on March 11, 2020. It was also stated that the spread of COVID-19 may be interrupted by early detection, isolation, prompt treatment, and the implementation of a robust system to trace contacts. Testing is a key strategy and the role of Diagnostic Stewardship (DS) is essential to allocate and engage the present as well as new testing resources strategically, effectively, efficiently, and safely. Thus, diagnostic stewardship aims to select the right test for the right patient, at the right time to generate accurate, clinically relevant results which will optimally influence better clinical care outcomes and will conserve the available health care resources.
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